Transurethral plasmakinetic bipolar along shear of prostate in bladder neck and enucleation in treatment of large volume benign prostatic hyperplasia

Objective To investigate the clinical value of transurethral plasmakinetic bipolar along shear of prostate in bladder neck and enucleation in treatment of large volume benign prostatic hyperplasia(BPH). Methods Fifty-seven BPH patients (prostate volume75 ml) without surgical contraindication from February 2009 to December 2011 were treated by transurethral along shear of prostate in bladder neck and enucleation with Gyrus plasmakinetic bipolar system and normal saline as medium. Operation time, blood loss and length of stay were recorded. IPSS, QOL and Qmax 3 months after surgery were compared with preoperative data to evaluated the clinical efficacy. Results All of the operation were successful. The mean operation time, blood loss, cathetered duration and the postoperative hospital stay were 95 min (70-135), 140 ml (100-250), 5 d (4-6) and 6.5 d (5-7) respectively. No blood transfusion, prostate envelope perforation or bladder injury occurred. Temporary urinary incontinence occurred in 8 cases and recoveried after 2 months’ functional exercise of pelvic floor muscle. IPSS, QOL and Qmax 3 months after surgery improved significantly(P0.05). Conclusions Transurethral plasmakinetic bipolar along shear of prostate in bladder neck and enucleation in treatment of large volume BPH is suited to the learner especially because of its safety, efficiency and lesser complication, and worth to generalize and perform.